KR900000059A - Anti-arrhythmic assisted regulator using pre-release periods to distinguish between physiological and pathological deficits - Google Patents

Anti-arrhythmic assisted regulator using pre-release periods to distinguish between physiological and pathological deficits Download PDF

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KR900000059A
KR900000059A KR1019890007994A KR890007994A KR900000059A KR 900000059 A KR900000059 A KR 900000059A KR 1019890007994 A KR1019890007994 A KR 1019890007994A KR 890007994 A KR890007994 A KR 890007994A KR 900000059 A KR900000059 A KR 900000059A
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취리프 라울
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39—Heart defibrillators
    • A61N1/3956—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion
    • A61N1/3962—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion in combination with another heart therapy
    • A61N1/39622—Pacing therapy

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Abstract

내용 없음No content

Description

생리학적인 것과 병리학적인 빈박을 구분하기 위해 사전 방출기간을 사용한 항 급속 부정맥 보조 조정기Anti-arrhythmic assisted regulator using pre-release periods to distinguish between physiological and pathological deficits

본 내용은 요부공개 건이므로 전문내용을 수록하지 않았음Since this is an open matter, no full text was included.

제1도는 본 발명의 제1실시예를 설명하는데 유용한 블럭 도표.1 is a block diagram useful in explaining the first embodiment of the present invention.

제2도는 항 금속 부정맥 심장 자극장치의 선택적 실시예의 블럭 도표.2 is a block diagram of an optional embodiment of an antimetallic arrhythmia heart stimulator.

Claims (6)

(a)심장박동의 펄스 도스를 측정하고 이에 비례하는 제1제어신호 크기를 발전시키기 위한 수단, (b)전술한 제1제어신호를 생명체에 대한 사전 설정된 박동도수와 비교하고, 전술한 제1제어신호 크기가 상기 사전 설정된 심장박동 도수 크기를 초과하는 때 제2제어신호를 드러내도록 하기 위한 수단, (c)전술한 생명체 심장의 사전방축 기간을 감지하고 이에 비례하는 제3제어신호크기를 드러내도록 하기 위한 수단, (d)전술한 제3제어신호 크기를 생명체의 현재 심장 도수를 기초한 생명체 심장의 도수가 교정된 사전-방출 기간값과 비례하는 제4제어신호와 비교하고, 전술한 제3제어신호 값이 전술한 제4제어신호값을 초과하는 때 제5제어신호값을 발생시키기 위한 수단, 그리고 (e)전술한 카디오버젼 수단의 개시를 위해 전술한 제2 및 제5제어신호 크기의 동시발생을 감지하기 위한 수단을 포함함을 특징으로 하는 생리학적이 아닌 병리학적인 것으로 결정되는 때 카디오버젼 수단을 시작하기 위해 생명체에서 빈박을 탐지하기 위한 장치.(a) means for measuring a pulse dose of the heartbeat and developing a first control signal magnitude proportional thereto; (b) comparing the first control signal described above with a preset pulse rate for the living being, Means for revealing a second control signal when the first control signal magnitude exceeds the predetermined heartbeat frequency, (c) detecting a third pre-deflation period of the living heart described above and a third control signal magnitude proportional thereto Means for revealing, (d) comparing the third control signal magnitude described above with a fourth control signal proportional to the corrected pre-emission period value based on the current cardiac power of the living heart, and Means for generating a fifth control signal value when the third control signal value exceeds the aforementioned fourth control signal value, and (e) the second and fifth control signal magnitudes described above for the initiation of the cardioversion means described above. Dong of Apparatus for detecting scavenging in living beings for initiating cardioversion means when determined to be physiological and not pathological, characterized in that it comprises means for detecting an onset. (a)기존 펄스도수를 감지하기 위해 심장에 결합된 수단,(b) 전술한 펄스도수를 환자를 위해 사전 설정된 펄스도수 크기와 비교하고 이같은 비교수단이 감지된 펄스도수가 사전 설정된 펄스도수를 초과하는 때 한 표시를 제공하는 전술한 감지수단에 결합된 수단, (c)환자 심장의 사전 방출 기간을 측정하기 위한 수단, (d)전술한 사전 방출 기간이 환자의 펄스도수에 대해 교정된 크기를 초과하는 가를 나타내기 위한 전술한 측정 수단에 응답하는 수단, 그리고(e)전술한 감지된 펄스도수가 사전 설정된 펄스도수를 초과하고, 전술한 측정된 사전방출 기간이 전술한 기대된 크기를 측정하는 때에만 전술한 카디오버젼 펄스 패턴의 발생을 시작하기 위해 표시하기 위한 수단과 비교를 위한 수단에 결합된 수단을 포함함을 특징으로 하는 병리학적인 원인의 빈박 탐지에 기하여 환자심장으로의 적용을 위한 카디오버젼 펄스 패턴을 발생시키기 위한 항 금속 부정맥(anti tachyarrythmia)페이싱 장치.(a) means coupled to the heart for detecting an existing pulse frequency, (b) comparing the aforementioned pulse frequency with a preset pulse frequency magnitude for the patient, and the pulse frequency at which such comparing means is detected is a preset pulse Means coupled to the aforementioned sensing means for providing an indication when the power is exceeded, (c) means for measuring the pre-release period of the patient's heart, and (d) the pre-release period described above is applied to the pulse frequency of the patient. Means for responding to the aforementioned measuring means for indicating if the corrected magnitude is exceeded, and (e) the sensed pulse frequency described above exceeds a preset pulse frequency, and the measured pre-release period described above is described above. Means for initiating the generation of the cardioversion pulse pattern described above only when measuring the expected magnitude, including means coupled to means for comparison and means for comparison. Wherein metal arrhythmia (anti tachyarrythmia) gihayeo pacing device for detection for generating a cardioid Since the pulse pattern for application to a patient's heart. (a)기존 펄스도수를 감지하기 위해 심장에 결합된 수단,(b) 예정된 시간간격에 대한 펄스도수의 증가 도수를 결정하기 위해 전술한 감지수단에 결합된 도수변화수단, (c)전술한 펄스도수를 환자에 대하여 미리 예정된 펄스도수값과 비교하기 위한 전술한 감지수단에 결합된 제1비교수단, 이때의 제1비교수단이 감지된 펄스도수가 예정된 펄스도수를 초과하는 때 신호표시를 제공하는 수단, (d)전술한 제1비교수단이 전술한 신호표시를 제공하는 때 그리고 변화탐지수단의 도수가 예정된 크기를 초과하는 도수변화를 감지하는 때 한 정해진 출력을 발생시키기 위한 케이트 수단, (e)환자 심장의 사전 방출기간을 측정하기 위한 수단, (f)전술한 측정된 사전 방출기간이 환자의 펄스 도수에 대하여 기대된 크기를 초과하는 가를 표시하기 위래 전술한 측정 수단에 응답하는 제2비교수단, 그리고(g)전술한 게이트 수단과 전술한 제2비교수단에 결합되어 전술한 게이트 수단이 전술한 정해진 출력을 발생시키고 전술한 측정된 사전-방출 기간이 전술한 기대된 크기를 초과하는 때 비로서 전술한 카디오버젼 펄스 패턴의 발생을 개시하기 위한 수단을 포함함을 특징으로 하는 병리학적 원인의 빈박을 탐지하여 환자의 심장으로의 적용을 위한 카디오버젼 펄스 패턴을 발생시키기 위한 항 금속 부정맥 페이싱 장치.(a) means coupled to the heart for sensing an existing pulse frequency, (b) frequency changing means coupled to the aforementioned sensing means for determining an incremental frequency of pulse frequency over a predetermined time interval, and (c) A first comparing means coupled to the above-described sensing means for comparing one pulse frequency with a predetermined pulse frequency value for the patient, wherein the first comparing means signals when the detected pulse frequency exceeds a predetermined pulse frequency Means for providing an indication, (d) a Kate for generating a predetermined output when said first comparison means provides said signal indication and when said frequency of change detection means detects a change in frequency exceeding a predetermined magnitude; Means, (e) means for measuring the prerelease period of the patient's heart, (f) the measurement means described above to indicate whether the measured prerelease period described above exceeds the expected magnitude for the patient's pulse frequency Second comparison means responsive to (g) the gate means described above and the second comparison means described above so that the above-described gate means generate the above-described predetermined output and the above-described measured pre-emission period is expected as described above. Means for initiating the generation of a cardioversion pulse pattern as described above when exceeding a predetermined size to detect a plethora of pathological causes and generate a cardioversion pulse pattern for application to a patient's heart. Anti-arrhythmic pacing device for dispensing. (a)심장 분극소실 신호를 감지하기 위한 수단, (b)잇달은 심장 분극소실 신호의 제1예정숫자 사이의 총 사이클 길이를 측정하기 위한 감지수단에 결합된 제1수단, (c)잇달은 심장 분극소실 신호의 제2예정 숫자 사이의 총 사이클 길이를 측정하기 위한 저술한 감지수단에 결합된 제2수단, 이때의 제2숫자가 전술한 제1숫자보다 크고, 제2측정이 제1측정으로부터의 예정된 시간 지연되는 수단, (d)전술한 제1측정값이 전술한 제2측정값을 초과하는 때 한 출력을 발생시키기 위한 제1비교기 수단, (e)심장 분극소실 신호가 감지되는 도수가 예정된 도수크기를 초과하는 때 한 출력을 발생시키기 위한 제2비교기 수단, (f)전술한 제1및 제2비교기 수단으로부터 출력을 수신하기 위해 결합된 제1게이트 수단, 이때의 게이트 수단이 전술한 제1및 제2비교기 수단으로부터의 전술한 출력이 동시에 존재하는 때에만 한 출력을 발생시키는 수단, (g)심장의 사전-방출 간격을 측정하기 위한 사전-방출(pre-ejection)기간 감지수단, (h)전술한 제1수단과 사전-방출 감지수단에 결합되어 사이클 길이의 변화에 따라 사전-방출기간의 길이변화를 탐지하기 위한 수단, (i)심장으로 전기적 펄스의 사전 결정된 패턴을 공급하기 위한 카디오버젼 펄스 발생수단, 그리고 (j)전술한 카디오버젼 펄스 발생수단을 전술한 제1게이트 수단의 출력으로 결합시키고 사전-방출기간의 길이 변화를 탐지하기 위한, 또다른 게이트 수단을 포함함을 특징으로 하는 병리학적 원인의 빈박을 탐지하여 환자 심장으로의 적용을 위한 카디오버젼 펄스 패턴을 발생시키기 위한 항 금속 부정맥 페이싱 장치.(a) a means for detecting a cardiac polarization signal, (b) an ear is first means coupled to a sensing means for measuring the total cycle length between a first predetermined number of the cardiac polarization signal, and (c) Second means coupled to the described sensing means for measuring the total cycle length between the second predetermined number of cardiac polarization signals, wherein the second number is greater than the first number described above, and the second measurement is the first measurement. Means for delaying a predetermined time from (d) first comparator means for generating an output when the first measurement described above exceeds the second measurement described above, and (e) the frequency at which the cardiac polarization loss signal is detected. Second comparator means for generating an output when the power exceeds a predetermined frequency, (f) first gate means coupled to receive output from the first and second comparator means described above, wherein the gate means is described above. From one first and second comparator means Means for generating one output only when the aforementioned outputs of the same are present simultaneously; (g) pre-ejection period sensing means for measuring the pre-ejection interval of the heart, and (h) the first means described above. And means for detecting a change in length of the pre-emission period in response to a change in cycle length, coupled to the pre-emission sensing means, (i) a cardioversion pulse generating means for supplying a predetermined pattern of electrical pulses to the heart, and (j) an impairment of pathological cause, comprising another gate means for combining the cardioversion pulse generating means described above with the output of the first gate means described above and for detecting a change in length of the pre-emission period. An anti-metal arrhythmic pacing device for detecting and generating a cardioversion pulse pattern for application to a patient heart. (a)생명체의 심장 박동도수를 측정하고, (b)그 심장의 사정-방출 기간을 측정하며, 그리고 (c) 사전-방출기간이 그 길이가 상대적으로 고정되어 있는 동안 심장 박동도수가 언제 예정된 기준도수 크기를 초과하는지를 탐지하는 단계를 포함함을 특징으로 하는 생명체에서의 병리학적인 빈박의 발생을 탐지하기 위한 방법.(a) measuring the heart rate of a living body, (b) measuring the ejaculation-release period of the heart, and (c) when the heart rate is measured while the pre-release period is relatively fixed in length. Detecting the occurrence of pathological slack in living organisms, the method comprising detecting whether a predetermined reference frequency magnitude is exceeded. 제5항에 있어서, (a)기존 심장 박동도수를 기초하여 기대된 사전-방출 기간을 계산하고, (b)기대된 사전-방출기간을 측정된 사전-방출기간과 비교하며, 그리고 (c)측정된 사전-방출기간이 심장 박동도수에서의 변화에 따라 변화하는가를 비교로부터 결정하는 단계를 더욱더 포함함을 특징으로 하는 방법.6. The method of claim 5, wherein (a) calculating the expected pre-release period based on the existing heart rate, (b) comparing the expected pre-release period with the measured pre-release period, and (c And determining from the comparison whether the measured pre-release period changes with a change in heart rate. ※ 참고사항 : 최초출원 내용에 의하여 공개하는 것임.※ Note: The disclosure is based on the initial application.
KR1019890007994A 1988-06-10 1989-06-10 Antitachyarrythmia pacemaker using pre-ejection period to distinguish physiologic from phthologic tachycardia Expired - Lifetime KR930000146B1 (en)

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